Staci Stevens has been another of my heroes as she's the only person I've seen doing realistic work on "exercise" and ME/CFS - recognizing and even measuring post-exertional malaise, recognizing that aerobic exercise is harmful and warning against it........... Such a realistic breath of good science. The Video from the Calgary 08(?) conference was brilliant (I did post it here, but too tired to look for the link right now).

As Stevens is maybe the best known of the authors, I put her name on the title here. This is another instance where I can't get the full article. I'm curious as to what the article says - quite broad-reaching goals are set. Anyone? Please?

Fatigue is one of the most common reasons why people consult health care providers. Chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) is one cause of clinically debilitating fatigue. The underdiagnosis of CFS/ME, along with the spectrum of symptoms that represent multiple reasons for entry into physical therapy settings, places physical therapists in a unique position to identify this health condition and direct its appropriate management. The diagnosis and clinical correlates of CFS/ME are becoming better understood, although the optimal clinical management of this condition remains controversial. The 4 aims of this perspective article are:

(1) to summarize the diagnosis of CFS/ME with the goal of promoting the optimal recognition of this condition by physical therapists;

(2) to discuss aerobic system and cognitive deficits that may lead to the clinical presentation of CFS/ME;

(3) to review the evidence for graded exercise with the goal of addressing limitations in body structures and functions, activity, and participation in people with CFS/ME; and

(4) to present a conceptual model for the clinical management of CFS/ME by physical therapists

Don't know about others, but I knew that.
Do people know that her exercise intervention was tested in a study by Leonard Jason and others in 2007* and it didn't come out that well. Pacing came out a lot better.
As an aside, this paper doesn't menton that study.

Abstract Non-pharmacological behavioral treatments for CFS have been suggested as promising. These trials have tested protocols composed of behavioral, cognitive and cognitive–behavioral interventions but there have been few efforts to differentially evaluate their outcomes. The primary purpose of the current study was to evaluate the effectiveness of nurse delivered non-pharmacologic interventions. In the present study, 114 participants diagnosed with CFS were randomly assigned to four 6-month interventions. The interventions were: cognitive–behavior therapy, cognitive therapy, anaerobic activity, and a relaxation control group. The study found that these interventions led to increases in several areas of functioning, with more consistent changes occurring among those participants in the cognitive condition. For the 25 variables in this study, significant change occurred for 28%, 20%, 16%, and 12% of the variables for the cognitive, cognitive behavior therapy, anaerobic activity, and relaxation conditions, respectively. However, the majority of participants continued to be diagnosed with CFS following the treatment trial. Implications of these findings are discussed.

Chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) is one cause of clinically debilitating fatigue. The underdiagnosis of CFS/ME, along with the spectrum of symptoms that represent multiple reasons for entry into physical therapy settings.:Retro redface:

The cause of CFS is unknown, but the condition may be related to infection with effects on the immune system.:worried: